| Course | NR 324 Adult Health I |
|---|---|
| Week | 1 |
| Paper type | Discussion post with one reply |
| Length | About 520 words |
| Format | Discussion post with APA 7 citations |
| School | Chamberlain University |
| Program | BSN (pre-licensure) |
| Updated | October 2026 |
Free sample paper for NR 324 Week 1
Week 1 Discussion: A Chronic Condition, Mid-Management
Eight Years With Stage 3 Kidney Disease and a Bottle of Ibuprofen in the Truck
Initial Post
Mr. O. is 64, drives a delivery route three days a week, and has lived with chronic kidney disease for eight years, currently stage 3b, the result of long-standing hypertension and type 2 diabetes. He is a composite of patients I cared for on my clinical unit this term. Nothing about his kidneys will be fixed. What his week looks like is management.
Three things are watched. His blood work, the eGFR, potassium and urine albumin, is drawn every three months at his primary care office; a potassium above 5.5 or an eGFR that drops by more than a quarter since the last draw means the office calls him the same day rather than waiting for the next visit. His blood pressure is taken at home every morning before his tablets and written on a card on the refrigerator, and two readings in a row above 150 systolic mean he calls the nurse line. His weight is checked on Monday mornings, and a gain of more than 5 pounds in a week, or ankles that leave a dent after pressing, mean a call that day. Chen et al. (2019) describe this kind of regular monitoring of kidney function, potassium and albuminuria, with blood pressure control and avoidance of medicines that harm the kidneys, as the core of managing chronic kidney disease.
The complication, written forward: as his kidneys decline, he will likely become anemic, and the first thing he would notice is being short of breath on the loading ramp at work or needing to sit down halfway through his route, well before any laboratory result is flagged.
The one instruction I would give him, short enough to remember: "No ibuprofen or naproxen, ever; Tylenol only, and never more than six of the 500-milligram tablets in a day." He keeps a bottle of ibuprofen in his truck for his back, and he did not know it could hurt his kidneys. I would ask him to hand me the bottle before discharge and to tell his wife, who packs his lunch and keeps the pill organizer, so there are two people in the house who know the rule. The instruction matters more than anything I could explain about filtration, because the ibuprofen is the one risk in his week he controls completely.
Reply to a Classmate
Your post about the woman with twelve years of asthma, who checks her peak flow only when she already feels tight, reminded me that many patients watch at the wrong moment. Would it help to give her a fixed morning time for the peak flow and a number that means she calls, such as below 80% of her personal best, rather than letting her symptoms decide when she checks? That would make her watching look more like Mr. O.'s blood pressure card, where the number decides the call and not the feeling. I am curious whether she has a written action plan at home already, or only the meter.
References
Chen, T. K., Knicely, D. H., & Grams, M. E. (2019). Chronic kidney disease diagnosis and management: A review. JAMA, 322(13), 1294-1304. https://doi.org/10.1001/jama.2019.14745
The Chamberlain NR 324 Week 1 instructions
The opening NR 324 discussion asks you to describe a person living with a chronic condition and how it is managed over time. Expect the prompt to ask what is monitored, how a complication would show itself and what teaching matters most, supported by one scholarly article, followed by peer replies. Keep the biology short and put most of the post into management. Give everything that is watched an interval and the value that would prompt action. Write a complication in the future tense with the first thing the person would notice. Make teaching a sentence a person could repeat. Remember that people with years of experience are not waiting to be informed.
Inside the NR 324 Week 1 example
The post opens with Mr. O., his age, his route and eight years of kidney disease caused by hypertension and diabetes. A paragraph lists what is watched: eGFR, potassium and urine albumin every three months, with the potassium and eGFR changes that trigger a call. The complication is written forward: anemia felt first as breathlessness on the loading ramp. The teaching is one sentence: no ibuprofen or naproxen, acetaminophen only, never more than six 500-milligram tablets a day, tied to the bottle in his truck. Chen et al. (2019) support the management points. The reply gives a classmate's asthma patient a fixed morning time and a trigger number for peak flow.
Reading the NR 324 Week 1 grading rubric
Discussion grading in NR 324 tends to follow management detail, application to a specific person, use of evidence, the reply and APA. Management detail carries the most points, so every watched item has an interval and a threshold. Application scores when the person's own habits shape the teaching, as the ibuprofen in the truck does. Evidence is credited when a current review supports the monitoring values. The reply earns its share by adding an interval and a trigger to a classmate's plan. A complication written forward with its first sign shows the prevention thinking this course builds. Mechanics include a complete reference and a post that stays within length.
NR 324 Week 1 help from the desk
The post that costs most is a paragraph of biology with management bolted onto the end. Watching described without how often or at what reading leaves nothing to act on. Teaching written as subjects, such as diet and medication, never becomes a sentence anyone would hear. A complication with nothing to look for is only a worry. Treating someone with years of practice as uninformed and a reply that only agrees with a citation attached also lose points. The person can be a composite of patients you have met. If your condition has not been covered yet, read ahead in the text. Name your assigned condition, and an NR 324 post can be drafted around one person managing it.
Get a NR 324 Week 1 example written to your instructions
Send the Week 1 prompt as your classroom posts it, whatever discussion rubric came attached to it, and the condition or patient you were given. A custom example is written to those instructions, both replies included, and comes back inside 24 to 48 hours. The first one is free.
More NR 324 papers and pre-licensure samples
- NR 324 Week 2: Concept Map
- NR 324 Week 3: Case Study Analysis
- NR 324 Week 4: Care Plan
- NR 324 Week 5: Patient Teaching Plan
- NR 324 Week 6: Perioperative Write-up
- NR 324 Week 7: Medication Management Case
- NR 324 Week 8: Discharge Summary Paper
- NR 325 Week 1: Discussion Post
- NR 304 Week 1: Symptom Timing Question Post
- NR 326 Week 1: Discussion Post
- NR 302 Week 1: Describing a Finding Discussion Post
NR 324 Week 1 questions, answered
Does the person in the post have to be somebody I looked after?
No. Most sections accept a composite, a patient the week supplies, or a person built from the picture of the condition in your reading, and the example works from whatever your prompt allows. What the post does need is a household and a history, because management questions only have answers once somebody has a home to go back to and a stretch of years behind them.
What if my assigned condition has not been covered in class yet?
That happens often in a first week, and the example handles it by staying at the level the posted materials reach. The three management moves hold whatever the condition turns out to be: something watched on an interval, something prevented, something taught. Build those around what your reading actually supports and leave the rest for the week that covers it.
Can the post use a condition somebody in my family lives with?
Sections differ and the posted instructions decide it, so check yours before building a post around one. Where it is allowed, the example keeps the person unidentifiable and treats their week as an illustration, never as evidence, and that is the line most instructors care about. Anything asserted about monitoring or teaching still carries a source from the week's materials.
Where can I find a free NR 324 Week 1 sample paper?
The complete Week 1 post about a delivery driver with stage 3b kidney disease, with monitoring intervals and the one instruction about pain relievers, is printed on this page.
What instruction does the NR 324 Week 1 post give?
No ibuprofen or naproxen ever, only acetaminophen, and never more than six 500-milligram tablets a day, tied to the ibuprofen bottle he keeps in his truck for his back.